Bring only the most Beautiful: Towards Excellence in Adult Education

Adult learners deserve to be taught by excellent educators. This paper identifies information needs about excellence in adult education pedagogy, a model for excellence, case study, and possible ‘next steps’. The analysis arises from New Zealand citizens of Pacific Nation heritage, intentionally expanding mainstream adult education paradigms

ANALISIS HUKUM TERHADAP PELAKU AKTIVITAS PIDANA PENCABULAN DAN KEKERASAN ANAK DI BAWAH UMUR (PUTUSAN NO.49/PID.SUS/2019/PN LBB)

Often criminal acts occur in human life and that includes their problems. usually this is because of something like their lust that wants a crime. Crimes that can be committed include various kinds of acts of harassment, obscenity and sexual violence. Types of crimes whose actions are in the category of sexual violence such as obscenity have a lot of impact on the victims. The victims besides being harmed they will also experience trauma and high shame. The study that will be carried out uses normative juridical, namely the method used in conducting research in the field of law with steps. This method works by analyzing legal sources in writing and available in the literature. The materials used in this research are laws, research journals, and books that are still relevant to the prevailing problems. This research uses a descriptive approach. where research is based on written rules as they are. Legal research on child abuse has basically been stated in article 76 E of Law no. 35 of 2014 regarding changes to Law NO. 3 of 2002 which deals with child protection. It is clearly stated in article 76 E which reads "Every person is prohibited from committing violence or threats of violence, forcing, deceiving, committing a series of lies, or persuading children to commit or allow obscene acts to be carried out". This case is also listed in the Lubuk Basung Court Decision No. 49/pid.sus/2019/PN LBB which received the result of the decision because the law had reported that the defendant was stating that the defendant was legally proven guilty of carrying out a crime in the form of intercourse with a minor. This violates Article 76 D in conjunction with Article 81 paragraph 1 UURI Number 35 of 2014 regarding changes to Law no. 23 of 2002 regarding child protection

Tinjauan Yuridis Terhadap Tindak Pidana Kepemilikan Senjata Api Tanpa Hak Oleh Masyarakat Sipil (Putusan Nomor : 79/PID.B/2016/PN.BLG)

This study aims to find out how the criminal liability for abuse of firearms is. This study applies normative research method in which the research is conducted based on reading materials such as books, literature and legislation relating to the material to be discussed in this thesis. From the results of the study, it can be concluded that the act of abuse of firearms is that it has become a lifestyle, and causes a sense of self security because of the increasingly widespread circulation of illegal firearms in Indonesia. But the security of our society can actually be disrupted if they are unable to hold back their emotions and are less responsible. Keywords: Abuse, Firearms, Civil Societ

KEKUATAN HUKUM PEMBUKTIAN REKAM MEDIS KONVESIONAL DAN ELEKTRONIK BERDASARKAN HUKUM POSITIF INDONESIA

Medical records are files containing patient records, which are made chronological time. There are two types of medical records and in general have been regulated in Permenkes Number 269 / MENKES / PER / III / 2008 concerning Medical Records, namely conventional medical records and electronic medical records. One of the benefits of medical records is as evidence in the law enforcement process. This type of research is normative juridical research and is analytical descriptive in nature. The data source used in this research is secondary data, which is obtained from books, journals, expert opinions and others. The data collection technique used is to collect data in this study through documentation studies in the form of data collection from literature or scientific writing in accordance with the object under study. Data analysis is data obtained and then analyzed qualitatively. From the study it is concluded that the difference in the strength of evidence lies in the non-fulfillment of the requirements of electronic medical records as written / letter evidence, in accordance with the Criminal Code Book 4, Concerning Evidence and Expiration, Second Chapter on Evidence by Writing and KUHAP Article 184 paragraph (1) letter c and d, as well as Articles 187 and 188 paragraph (2) letter b. This means that conventional medical records can be used as original written evidence, whereas electronic medical records cannot. The cause of the difference is because both the Criminal Code and the Criminal Procedure Code, the power of written evidence, is only in writing, in the form of original letters and / or authentic deeds. The data used are (1) primary data in the form of statutory regulations, results of interviews with hospitals and courts, (2) secondary data through literature studies of various laws and regulations and books / journals to obtain expert opinion. The results of this research are expected to be published through (1) scientific articles in Accredited National Journals and (2) teaching materials in Law courses at the Faculty of Law at Prima Indonesia University

Peri-operative blood pressure changes in normotensive and hypertensive patients

Controversy surrounds the acceptance of hypertension as an independent risk factor for anaesthesia. In an attempt to identify variables that are associated with increased haemodynamic instability during surgery, the blood pressure profiles of 128 patients were analysed. The two variables that contributed most to the instability were pre-operative control of blood pressure and anaesthetic technique. To reduce the fluctuation in blood pressure, it is advisable for patients to be given a regional anaesthetic. Current therapy for hypertension appears to exaggerate the depressant effects of anaesthetic drugs. Care must be taken not only to prevent hypertensive episodes during surgery, but also hypotensio

Relationship of energy and protein adequacy with 60-day mortality in mechanically ventilated critically ill patients: a prospective observational study

Background & aims: The effect of provision of full feeding or permissive underfeeding on mortality in mechanically ventilated critically ill patients in the intensive care unit (ICU) is still controversial. This study investigated the relationship of energy and protein intakes with 60-day mortality, and the extent to which ICU length of stay and nutritional risk status influenced this relationship. Methods: This is a prospective observational study conducted among critically ill patients aged ≥18 years, intubated and mechanically ventilated within 48 h of ICU admission and stayed in the ICU for at least 72 h. Information on baseline characteristics and nutritional risk status (the modified Nutrition Risk in Critically ill [NUTRIC] score) was collected on day 1. Nutritional intake was recorded daily until death, discharge, or until the twelfth evaluable days. Mortality status was assessed on day 60 based on the patient's hospital record. Patients were divided into 3 groups a) received <2/3 of prescribed energy and protein (both <2/3), b) received ≥2/3 of prescribed energy and protein (both ≥2/3) and c) either energy or protein received were ≥2/3 of prescribed (either ≥2/3). The relationship between the three groups with 60-day mortality was examined by using logistic regression with adjustment for potential confounders. Sensitivity analysis was performed to examine the influence of ICU length of stay (≥7 days) and nutritional risk status. Results: Data were collected from 154 mechanically ventilated patients (age, 51.3 ± 15.7 years; body mass index, 26.5 ± 6.7 kg/m2; 54% male). The mean modified NUTRIC score was 5.7 ± 1.9, with 56% of the patients at high nutritional risk. The patients received 64.5 ± 21.6% of the amount of energy and 56.4 ± 20.6% of the amount of protein prescribed. Provision of energy and protein at ≥2/3 compared with <2/3 of the prescribed amounts was associated with a trend towards increased 60-day mortality (Adjusted odds ratio [Adj OR] 2.23; 95% confidence interval [CI], 0.92-5.38; p = 0.074). No difference in mortality status was found between energy and protein provision at either ≥2/3 compared with <2/3 of the prescribed amounts (Adj OR 1.61, 95% CI, 0.58-4.45; p = 0.357). Nutritional risk status, not ICU length of stay, influenced the relationship between nutritional adequacy and 60-day mortality. Conclusions: Energy and protein adequacy of ≥2/3 of the prescribed amounts were associated with a trend towards increased 60-day mortality among mechanically ventilated critically ill patients. However, neither energy nor protein adequacy alone at ≥ or <2/3 adequacy affect 60-day mortality. Increased mortality was associated with provision of energy and protein at ≥2/3 of the prescribed amounts, which only affected patients with low nutritional risk

Nutritional management of the critically ill obese patient

Purpose of review: The prevalence of obesity in Malaysia has increased four folds over the past two decades. Epidemiologic studies suggest that there are increased numbers of overweight and obese patients admitted to the intensive care unit (ICU). Increased morbidity and mortality along with longer duration of ICU stay and time on mechanical ventilator have been shown to be associated with this particular body habitus. This review will discuss the recent findings and evidence-based approaches to provide nutrition therapy for this ICU population. Recent findings: Nutrition therapy plays a vital role in improving their outcome; however, clinicians need knowledge of certain obstacles that are unique to obese patients. Nutrition assessment should be comprehensive, because the presence of malnutrition is always underestimated. The increased basal insulin level suppresses lipid mobilisation but increases protein breakdown in obesity, thus leading to protein malnutrition. Large variations in body composition among the obese make estimation of caloric requirements very difficult. There is no consensus as to which predictive equation is most suitable, leading to the recommendation to perform indirect calorimetry when available. A more balanced nitrogen profile has been shown following a high-protein, hypocaloric feeding regimen as compared to a eucaloric one while also demonstrating better outcomes. Summary: Future studies should focus on finding a method to determine appropriate energy requirements and validate the benefits of a high-protein, hypocaloric feeding regimen in critically ill obese patients

PERTANGGUNGJAWABAN HUKUM PIDANA TERHADAP PELAKU IMMATURE PEDOFILIA BERDASARKAN UNDANG-UNDANG NOMOR 23 TAHUN 2003 TENTANG PERLINDUNGAN ANAK

Faktor penyebab terjadinya kejahatan Immature Pedofilia dapat berasal dari faktor intern atau faktor ekstern. Pertanggungjawaban pidana terhadap kejahatan Immature Pedofilia diancam dalam KUHP dan Undang-Undang Perlindungan Anak. Hasil penelitian menunjukan bahwa tindak pidana kejahatan Immature Pedofilia dirumuskan dalam Pasal 82 Undang-Undang Nomor 23 tahun 2002 tentang Perlindungan Anak. Penelitian ini menggunakan metode penelitian yuridis normative dengan sumber hukum primer,sumber hukum sekunder dan sumber hukum tersier. Sanksi pidana yang diancamkan dalam Pasal 82 adalah pidana penjara paling lama 15 (lima belas) tahun dan paling singkat 3 (tiga) tahun dan denda paling banyak Rp. 300.000.000,- (tiga ratus juta rupiah) dan paling sedikit Rp. 60.000.000,- (enam puluh juta rupiah)

Prevalence and duration of reasons for enteral nutrition feeding interruption in a tertiary intensive care unit

Objectives: Intensive care unit (ICU) enteral nutrition (EN) can involve frequent feeding interruption (FI). The prevalence, causes, and duration of such interruption were investigated. Methods: Reasons for EN FI identified from extensive literature review were prospectively collected in adult mechanically ventilated critically ill patients. Results were reported by descriptive statistics. Baseline and nutritional characteristics between patients who died and those alive at day 60 were compared. Results: A total of 148 patients receiving ≥1 day of EN for the full 12-day observational period were included in the analysis. About 332 episodes of EN FI were recorded and contributed to 12.8% (4190 hours) of the total 1367 evaluable nutrition days. For each patient, FI occurred for a median of 3 days and the total duration of FI for the entire ICU stay was 24.5 hours. Median energy and protein deficits per patient due to FI for the entire ICU stay were -1780.23 kcal and -100.58 g, respectively. Duration of FI, days with FI, and the amount of energy and protein deficits due to FI were not different between patients who had died and those who were still alive at day 60 (all P > 0.05). About 72% of the total duration of EN FI was due to procedural-related and potentially avoidable causes (primarily human factors), while only about 20% was due to feeding intolerances. Conclusions: EN FI occurred primarily due to human factors, which may be minimized by adherence to an evidence-based feeding protocol as determined by a nutrition support team

Tinjauan Yuridis Tindak Pidana Korupsi Penyalahgunaan Wewenang Dalam Jabatan Di Dinas Pendidikan Nias Selatan (Studi Putusan No. 10/pid.sus.tpk/2017/pn.medan)

Corruption is very closely related to the factor of abuse of authority or influence that exists on someone’s position as an official who deviates from the legal provisions so that the action is detrimental to the economy and state finances. The purpose of writing this study is to find out and to analyze whether in case of the misuse of authority in the Payment of Teacher Professional Allowances, the corruptor has got appropriate punishment by law. The research method used in the writing is normative research that uses a statue approach and conceptual approach.The conclusion of the study is that the application of criminal law both formally and materially in the Corruption Crime of Abuse of Authority by the Treasurer in Decision No.10 / PID.SUS.TPK / 2017 / PN.MEDAN is appropriate, and in terms of the application of material criminal law,  the actions of the defendant Maranatha Dachi. SPd. has fulfilled the element of offense as the subsidiary indictment was chosen by the Panel of Judges which states that the Defendant is found guilty of committing Corruption Crime which was regulated in Law No.20 of 2001 concerning Amendment to Law No.31 of 1999 concerning Eradication of Corruption Crimes, and  in making decisions against the Corruption of Abuse of Corruption by the Treasurer at the South Nias Education Office Decision No.10 / PID.SUS.TPK / 2017 / PN.MEDAN. The Panel of Judges uses judicial and non-juridical considerations. However, according to the Writer, the judge should dig deeply into the non-juridical considerations primarily concerning matters that incriminate the Defendant